| NPI | 1003017096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CORDELL Dentist Owner 972-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14391) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-03-18 |